Clinical Laboratory Information

Ictotest Backorder

The company that produces Ictotest reagent tablets has experienced a problem with the source of key components of the tablets. They are currently validating tablets from an alternative source, but at this point, are not able to provide us with a definitive timeline for release of new lots.

Ictotest reagent tablets are used to confirm the presence of bilirubin in urine when the reagent strip is positive. We expect to deplete our current supply within the next day or two. At that time, the following comment will be attached to all positive urine bilirubin results:

Due to a nation-wide shortage of product, we are currently unable to perform an Ictotest to confirm the positive urine bilirubin result.

We regret any inconvenience this may cause you and will work diligently to obtain the product when it becomes available. If you have any questions, please contact Karen Watkins, Lab Manager (x5780) or Kiem Injo, Lead CLS (x5775).

Due to the continuing nation-wide production problems with the Acetest tablets used for ketone body testing, we are again unable to perform the test. In order to provide a test that measures ketones, we will temporarily send the specimens to ARUP for quantitative beta-hydroxybutyric acid testing.

What will not change:

Specimen requirements

How you place the order for ketones

What will change:

The order for ketones will be mapped to beta-hydroxybutyric acid, and sent to ARUP.

Turn-around time will be 1-3 days.

To view results in EMR, you’ll need to access the Chemistry group of Laboratory Tests, and select Beta-Hydroxybutyric Acid. The reports will include an explanatory comment.

You also have to option of ordering beta-hydroxybutyric acid directly.

If you have any questions or concerns, please contact Karen Watkins (Manager, Clinical Laboratory, x5780), or Kiem Injo (Hematology Lead CLS, x5720).

Bone Marrow Microbiology Culture(Updated 11-28-2011)

For consideration of bacterial, fungal or mycobacterial cultures, bone marrow will be processed as “blood” and placed into the Bactec blood culture vials. The blood cultures vials will support the growth and detection of most entities that could be associated with infection in bone marrow (Brucella, Cryptococcus neoformans, Histoplasma capsulatum, and mycobacteria.)

Requesting a bone marrow culture without specific indication is discouraged.